| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,620.18 | $4,088.42 | $5,207.05 |
New Technology - Level 24 ($3001-$3500)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,620.18 | $4,088.42 | $5,207.05 |
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